Regional MDS & PDPM Nurse Consultant

SanStone Health; Greensboro (NC); Presencial; USD 85.000 - 110.000; Jornada completa

Descripción de la vacante

SanStone Health seeks a Registered Nurse- Regional Consultant MDS to support and train MDS Coordinators on the RAI process across facilities, ensuring compliance with laws and company standards. You will review PDPM and Case Mix data to ensure appropriate reimbursement.

The role requires nursing leadership, strong communication, and the ability to travel to facilities as needed, coordinating with regional teams to improve Quality Measures and CMS Five Star outcomes.

Formación

• Current RN license issued by the State Board of Nursing.
• Bachelor’s or Associate degree in nursing from an accredited college.
• Minimum 3+ years experience with the RAI process.
• Prior multi-facility experience is a plus.
• Strong knowledge of PDPM and State Case Mix Time weighted Reimbursement.
• Knowledge of nursing and medical practices and applicable laws/regulations for long-term care.
• Excellent verbal and written English communication skills.
• Ability to communicate at all levels and work in a team environment.
• Customer service oriented with ability to work under pressure.
• Strong attention to detail and high productivity.

Responsabilidades

• Provides leadership and acts as a resource for regional and facility staff on the RAI, Medicare, and Medicaid programs as applicable.
• Conducts regular monitoring of facility Medicare management and Case-Mix.
• Collaborates with Regional Nurse Consultant to provide education and support for QM and CMS Five Star Rating development.
• Supports accurate claims and billing.
• Leads and participates in program improvement and development efforts related to RAI, Medicare and Medicaid programs.
• Conducts follow-up evaluations to validate systems post-roll-out.
• Participates in the Quality Assurance Process Improvement Program: identifies trends, assists with Root Cause Analysis, suggests solutions, supports follow-up with measurement design.
• Participates in mock survey processes and state/federal survey preparation as requested.

Conocimientos

English communication

Team collaboration

Attention to detail

Organization

Independent decision making

Travel readiness

Microsoft Word

Microsoft Excel

PowerPoint

Internet navigation

Educación

Bachelor’s degree in nursing

Associate degree in nursing

Herramientas

Microsoft Word

Microsoft Excel

PowerPoint

Internet navigation

Descripción del empleo

SanStone Health seeks a Registered Nurse- Regional Consultant MDS to support and train MDS Coordinators on the RAI process across facilities, ensuring compliance with laws and company standards. You will review PDPM and Case Mix data to ensure appropriate reimbursement.

The role requires nursing leadership, strong communication, and the ability to travel to facilities as needed, coordinating with regional teams to improve Quality Measures and CMS Five Star outcomes.